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Klickovic U, Zampedri L, Sinclair CDJ, Wastling SJ, Trimmel K, Howard RS, Malaspina A, Sharma N, Sidle K, Emira A, Shah S, Yousry TA, Hanna MG, Greensmith L, Morrow JM, Thornton JS, Fratta P (2019) Skeletal muscle MRI differentiates SBMA and ALS and correlates with disease severity

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The substantial hepatic storage of vitamin B 12 can delay clinical manifestations for up to 10 years after the onset of deficiency

Malabsorption Conditions affecting nutrient absorption in the gastrointestinal tract, like pernicious anemia, celiac disease, or Crohns disease, can hinder the uptake of vitamin B12, leading to deficiency